Charles Russell Clifton in Gainesville - Clinical
Charles Russell Clifton - NPI 1366587040
Charles Russell Clifton is a Clinical in Gainesville, Florida. Charles Russell Clifton practices all healthcare services and medical treatments related to Clinical. The NPI Number for Charles Russell Clifton is 1366587040. The last update date is 2011-12-12.
Charles Russell Clifton's current location address is 2121 Nw 40th Ter, Gainesville, Florida. You can contact this provider via phone number 3523362888 and fax number 3523711730. The mailing address for Charles Russell Clifton is 2121 Nw 40th Ter, Gainesville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Russell Clifton |
|---|---|
| Address | 2121 Nw 40th Ter, Gainesville, Florida |
| Phone Number | 3523362888 |
| Fax Number | 3523711730 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1366587040 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2011-12-12 |
Provider Mailing Address Detail
| Address | 2121 Nw 40th Ter |
|---|---|
| City | Gainesville |
| State | Florida (FL) |
| Post Code | 326055813 |
| Phone Number | 3523362888 |
| Fax Number | 3523711730 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY2731 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Charles Russell Clifton by the Centers for Medicare & Medicaid Services (CMS)?
The Charles Russell Clifton has been assigned the NPI (National Provider Identifier) 1366587040. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Charles Russell Clifton located?
The Charles Russell Clifton is located at 2121 Nw 40Th Ter, Gainesville, FL 326055813.
What is Charles Russell Clifton's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Charles Russell Clifton is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Charles Russell Clifton receive the assignment of its 1366587040 from the Centers for Medicare & Medicaid Services?
The Charles Russell Clifton was issued its 1366587040 by the Centers for Medicare & Medicaid Services on 2007-02-21.
As of what date were the details related to Charles Russell Clifton most recently updated or revised?
The information pertaining to Charles Russell Clifton, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-12.
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